- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $7,079.46 / $21,379.62
| Facility | | $501.19 | $7,079.46 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,981.07 / $10,471.29 / $10,471.29
| Facility | 50 | $3,981.07 | $10,471.29 | $10,471.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,630.78 / $7,413.10 / $14,791.08
| Facility | | $3,630.78 | $7,413.10 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,235.94 / $3,235.94 / $3,235.94
| Facility | | $3,235.94 | $3,235.94 | $3,235.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $398.11 / $588.84 / $912.01
| Facility | | $398.11 | $588.84 | $912.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $17,378.01 / $26,302.68
| Facility | | $6,309.57 | $17,378.01 | $26,302.68 |